Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Winston Medical Clinic Fair Elementary School

Organization Family Nurse Practitioner · NPI 1023474780

Winston Medical Clinic Fair Elementary School provides Family Nurse Practitioner services in Louisville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016

Practice location Address checks out

301 N Columbus Ave
Louisville, MS 39339-2315 Not confirmed with CMS for 10 years — call before visiting
Phone: (662) 446-1972
Fax: (662) 446-1039
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R860217 (MS)

Record details

NPI number1023474780
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWinston Medical Clinic LLC
Authorized official Debra Fryery — Director Of Clinic Operations · (662) 446-1972
Other names Winston Medical Clinic Llc
NPI enumeratedJanuary 12, 2016
Last updated in NPPESJanuary 12, 2016
Mailing addressPo Box 470, Louisville, MS 39339-0470

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